2018, Number 4
Cir Cir 2018; 86 (4)
Short and long-term outcomes of the re-hepatectomies as part of multi-modal treatment of hepatic metastases from colo-rectal origin. Bi-institutional study
Nari G, Mariot D, Góngora-Ortega J, López-Ben S, Albiol M, Figueras J
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A high percentage of patients undergoing hepatectomy for metastatic colorectal liver disease will have a recurrence.
Of these, some can be subject to a new resection. The usefulness of repeated hepatectomy remains controversial. The aim of this
study is to evaluate the results of short and long-term outcomes in repeated hepatectomies. Methods:
They were re-analyzed 68
repeated hepatectomies from two institutions. Demographics, characteristics of metastatic disease and hepatic resections were
analyzed. Types of complications, morbidity and mortality were also analyzed as survival and disease-free time. Some of the factors
of poor prognosis mentioned in the literature were evaluated. Results:
The analysis of short-term data showed no statistically significant
differences between patients with first and repeated hepatectomy, except the percentage of postoperative biliary leakage
(p = 0.001). The 1-year survival was similar while 3 and 5 years survival showed significant differences (p = 0.024 and 0.004, respectively).
The factors of poor prognosis referred in the literature were not representative in this series. Conclusion:
results of repeated hepatectomy are similar to those resected once. Long term result are inferior to other published series.
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